Martin, TN ·
OSHA Injury Report: DBA: Diversicare of Martin
Injury · Other recordable case
At a glance
On , an injury at DBA: Diversicare of Martin in 158 Mt Pelia Road, Martin, TN 38237 resulted in other recordable case. Employee was l P N in convalescent homes or convalescent hospitals (except psychiatric).
Where did this happen?
- Establishment
- DBA: Diversicare of Martin
- Parent company
- Diversicare / DAC Acquisitions LLC
- Street
- 158 Mt Pelia Road
- City
- Martin
- State
- TN
- ZIP
- 38237
- On-site location
- 600 Hall Dayroom
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
assisting resident to sit in a chair in day room of memory care
What happened
Dementia Resident kicked employee in left knee hard
Injury or illness
contusion of left knee
Object or substance involved
resident of demential unit
Summary line
Resident kicked employee in left knee hard
Employee and industry
- Job description
- L P N
- SOC code
- 29-2061: Licensed Practical and Licensed Vocational Nurses
- NAICS code
- 623110: Convalescent homes or convalescent hospitals (except psychiatric)
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 82
- Hours worked at this establishment (2023 total)
- 136,458
- EIN
- 621317705
- Establishment ID
- 1179614
- Employer case #
- 2023-2
When (timing detail)
- Date of incident
- Time of incident
- Not known — the employer filed this case without a time of day.
- Filing year
- 2023
- Submitted to OSHA
- 2024-03-01
More injuries at DBA: Diversicare of Martin
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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